Accounts Receivable Specialist (74352) at Orthopedic Associates of Lancaster, LTD. in OAL Lebanon - Lebanon, PA 17042

Job description

• The Accounts Receivable (AR) Specialist position bills insurance companies for all surgery center and surgery center-based physician bills. In addition, the AR Specialist pursues collection of all claims until payment is made by insurance companies and performs other work associated with the billing process.

Responsibilities

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Provide excellent customer service and billing expertise to our patients and staff.
• Working with insurance carriers to identify and correct billing issues and ensure timely reimbursement.
• Daily posting and reconciliation of insurance and patient payments.
• Patient account maintenance.
• Patient account collections.
• Support of front-end revenue cycle processes.
• Maintains confidentiality of all information
• Completes work within authorized time to assure compliance with departmental standards.
• Demonstrates knowledge of, and supports, all standards, policies and procedures, and operating instructions.
• Maintains third-party billing logs.
• Works denials provided by Cash Poster utilizing clearing house appeal software.
• Completes Bad Debt Reporting Request and submits to Leadership.
• Completes Refund Requests and submits to Leadership for approval.
• Contacts patients regarding self-pay balances, explaining payment options and the use of Care Credit.
• Sends partial payment letters as appropriate.
• Provides coding for all self-pay packages requested by OAL.
• Monitors assigned workflow daily in the clearing house.
• Monthly generation of patient responsibility statements.
• Completes Workers Compensation Fee Reviews within day 46 to day 60 of claim days on AR.
• Completes AR follow-up on assigned third party payers to ensure payment of claims within 90 days of procedure.
• Prepares report on assigned AR for review with leadership each month.
• Performs other duties as required.

Requirements

• High school diploma or GED required.
• Prior experience in a medical office setting is preferred.
• Coding certification for AAPC or AHIMA is preferred.
• Certification/diploma from a vocational school or business school is preferred.
• Proficiency with Microsoft Office Suite is preferred.

Skills

Required

• High school diploma or GED
• Customer service
• Billing expertise
• Confidentiality
• Compliance with standards and policies

Preferred

• Coding certification (AAPC or AHIMA)
• Proficiency with Microsoft Office Suite